Quality Management Clinical Analyst
4 weeks ago
Quality Management Clinical Analyst
75 Vanderbilt Ave, Staten Island, NY 10304, USA
Req #11964
Monday, May 13, 2024
Quality Management Clinical Analyst
Duties and Responsibilities
+ Incident reporting: logging, investigation, ensures written report on file, assists clinical managers with written reports, collates information on a quarterly basis. Provides education to clinical staff regarding risk management and incident reporting.
+ Medicare expedited appeals. Review case, writes detailed notice, ensures all information is sent to the QIO.
+ Conducts quarterly utilization review including the preparation of the UR report for UR Committee and Professional Advisory Committee (PAC) presentation.
+ Infection reporting and infection control: Investigation, record review, writing infection reports, collating and reporting data to PAC.
+ Medical record requests: oversight of QM Assistant with processing medical record requests to ensure timely distribution, audit of the record prior to distribution to the requestor.
+ Potentially Avoidable Events (PAE): review OASIS PAE reports and conducts record audit of patient experiencing potentially avoidable events to determine agency risk in the event occurrence; prepares PAE report for PAC presentation. Provides feedback to clinical management on deficiencies found.
+ Focused record audits related to problem prone areas, performance improvement projects and plans of correction on an as needed basis. Provides feedback to clinical management on deficiencies.
+ Assists QM Director/Compliance Officer with complaint and other investigations as requested including review of patient record.
+ Vendor Management: conducts personnel file audits and policy review of new vendors to ensure that vendor meet Agency standards.
Job Qualifications Required
+ At least 2 years' CHHA experience preferably in a quality assurance role.
Education, Knowledge, Skills and Abilities Preferred
+ RN, BSN preferred.
+ Word, Excel, Power Point
Job Type: Full-time
Other details
+ Pay Type Salary
+ Min Hiring Rate $100,000.00
+ Max Hiring Rate $120,000.00
Apply Now
+ 75 Vanderbilt Ave, Staten Island, NY 10304, USA
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